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Organization
PRIMARY CARE SPECIALISTS SOUTH PLLC
Active
Organization
PRIMARY CARE SPECIALISTS SOUTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR JOHN MICHAEL BRILEY DNP (OWNER)
(731) 427-0470
Entity
Organization
Contact information
Practice address
1385 S HIGHLAND AVE, SUITE B1, JACKSON, TN 38301-7525
(731) 427-0470
(731) 427-0995
Mailing address
PO BOX 9274, JACKSON, TN 38314-9274
(731) 427-0470
(731) 427-0995
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3735747
—
TN
Enumeration date
09/06/2006
Last updated
03/30/2015
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